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General NPI Number Information
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NPI Number | 1093721821
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Entity Type | Organization
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Legal Business Name | PREMIER VISION, P.C.
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 152 9TH ST
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City | TERRELL
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State | TX
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Zip | 75160-3061
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Country | US
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Telephone | 972-563-5533
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Fax | 972-524-8489
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Provider Business Mailing Address
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Address Line | 152 9TH ST
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City | TERRELL
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State | TX
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Zip | 75160-3061
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Country | US
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Telephone | 972-563-5533
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Fax | 972-524-8489
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Authorized Official
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Title or Position | PRESIDENT
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Name | KENT A. WILSON
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Credential | OD
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Telephone | 972-563-5533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4572TG
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License Number State | TX
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